Provider Demographics
NPI:1417359704
Name:JTD SOLUTIONS
Entity Type:Organization
Organization Name:JTD SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:DUTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-622-9011
Mailing Address - Street 1:6560 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-1135
Mailing Address - Country:US
Mailing Address - Phone:248-622-9011
Mailing Address - Fax:
Practice Address - Street 1:6560 PINE RIDGE DR
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-1135
Practice Address - Country:US
Practice Address - Phone:248-622-9011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies